HomeMy WebLinkAbout0126150-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 713 E PARKWAY AVE
CITY OF OSHKOSH
No
126150
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHRIS S MORTENSON
Create Date 08/07/2007
Contractor JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Category 411 - Residential-Water Heaters
Plan
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap ,
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Duplex / Replace gas water heater. **DEBIT KITZ & PFEIL ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1101700000
$395.00 Plan Approval
~
$0.00
$25.00 D Permit Voided I
Permit Fees
Date 08/08/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
FOND DU LAC
Address W5056 PARADISE LN
WI 54935 - 9662 Telephone Number 920-922-1987
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into .Bui.lping if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~
AUG-07-2007 TUE 02:58 PM KITZ & PFEIL
FAX NO. 19202363348 P. 01
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Osnl\osh, \\'I 54~03-113()
i;hml'~: (92'J) Z36-S050
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Plumbing Permit Application
[ ]:~r(;b}' apply f(')r il penni r to do and i:1;;taIl L':!.(: fcUOwing plurnbll~ on the premi.~cs herein.after described., the 'work to conform :-:' tht~
Viiscuusi:< S,an: E'l:Jm~ing C<Klc, i,\ .he performance ofwhiph all parties hereto agr~e f.(l and arc bound by said sramtes.
e App!i;::arion(s) ~md :-i.:~(s) C:'1l1 .~x: oTougl;,t to City Hall, l<.obm 205 or mailed to inspection Services, PO Box 112g,
Os;hkosh WI 54903-1 j 2:<:. Commc,~cing work without pbrmit(s) wjJl result in fees heing doubledor S 100.00 plul> [he
nOT'-\a~ -perrn.lt fec. ..d:ich c:.vc;;r is gre<1~(:r. :
OR
1L""0 U !1 r& tl...(:..J)fl! r :H' !I? 't" DO, r t, C}JIQ; i J1~' in [12 ? tam i ( f i!(f A CCO.1,lll t Svs tern and h r.: VI1 l1.fi 20U a.U.f:'!.'3 d:;. fh e c k riV;'~..
iJ.;,'(J /.I ;,~a n.; rh if'.-__p. ;'/:<: :i:.\'~' c..rLr h ro uf/ h '.'(; J,(.i ace 0 un._L..o .
Jol") Addre$s 7J/l F. /J~,..k~-.J.'/ Value (!n~;ll~ingte.bor~t\dmareriab) 39.;;J.p~ Date" p- p", oJ..
OWllU _C-u.-AL#Ol'"f'>e t1,S~ Contra.cto.t" ,~rfi ~
; :Singlf. F2roiiy [JDuplf:5'.: CkJMUh:i-FamilY: DRental '6~ommercial DlndustriaJ
Number of Fixtu.res:
~",:.;,j;;.\t"y
L':-ldry $:t.l.:~dp
ni~l'OS3\
Djsh,\'~s;'~'::r
Dent. Ol><=r.
$h.'\n1r Sink
F!r.'Wst Sink
C,tt(~h Basi:,:
3.1Hh~J~)
'f':"libt
SU'-'P ;"'''''''!'
F~: o:.ctcr:'C :i:.II~
DipWdl
Drink Fl.n
Woi1.. St.
Ice Ch~SI
Waoh fln
U rin~ 1
'J./'!'I:'ipll(l,
i{e.s. Sink
)i/l..1:s,.;f
8~dc::t
f:x~'l'n Sink
Scu lry :;;nk
Hand Sink
F Prep Sink
Serv Sink,
InT (irease Tr~lp
EXl Greas~ Trap
C('1( Drain
a~~' .)::i~
.v(,,~:;~ ~:al~.r~.., :-~,
~. ..,_~, 1.,_,-,._ I'\', . ...
\l) ~~C;" ~~.~:-:.!~~~
Lo..~;.:.'j \\'~!:::~
.
Sods. I)isp
Coffee Ml:k(~r
J~~ M~ke,'
Sir~ Dra.in
c~(~~~~:' v. snr
F.~h::" 'i)rair,
l:.k:e:'T;'ip
~~,Si:\~
S':..:'gt:'~'):~,~ ~",:~~..
RI)o1' l.)ro-,;'l1
Stand? RoC
L.:!,:r)' r:,;,y
':':;:.;;..~:=;rrn S:n.~
P:t.:~::'::- ~::nl\
H:....:~k:":"I: S. h';t~
:",.:,',::.:r:.:r
Electric ConU<lcto r
OR;
DElectric In.stallation Verification fOrm attached
(If R~pl~cem<=n()
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.'\Ol'ni s.;;:~~"Cj.
\60
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